Building a Health History: Communicating Effectively to Gather Appropriate Health-Related Information
You have been assigned the case of S.D., a 37-year-old healthy Hispanic female seen in the Emergency Department with bruises and an arm laceration after a fall. Her husband is at the bedside. This is her second visit in the past six months for similar care. She is undocumented and awaiting residency approval after marrying her current husband.
As you complete your assignment, reflect on the following:
Cultural and Contextual Factors:Explain the specific socioeconomic, spiritual, lifestyle, and other cultural factors associated with the patient. Be specific.
Cultural Sensitivity:Discuss issues you would need to be sensitive to when interacting with this patient—and why.
Communication Strategies:Describe the communication techniques you would use to build rapport and demonstrate cultural sensitivity. Explain why these strategies are appropriate.
Health History Interview:Summarize the approach you would take to gather the patient’s health history. Provide at least five (5) targeted questions, explain your reasoning, and describe how you would phrase each for this specific patient.
Risk Assessment Tool:Identify and justify one risk assessment instrument applicable to this patient scenario.-
BUILDING A HEALTH HISTORY: COMMUNICATING EFFECTIVELY TO GATHER APPROPRIATE HEALTH-RELATED INFORMATION
Effective communication is vital to constructing an accurate and detailed patient history. A patient’s health or illness is influenced by many factors, including age, gender, ethnicity, and environmental setting.
There may also be significant cultural factors. In May 2012, Alice Randall wrote an article for The New York Times on the cultural factors that encouraged Black women to maintain a weight above what is considered healthy. Randall explained from her observations and her personal experience, as a Black woman, that many African American communities and cultures consider women who are overweight to be more beautiful and desirable than women at a healthier weight. As she put it, “Many black women are fat because we want to be†(Randall, 2012).
Randall’s statements sparked a great deal of controversy and debate at the time; however, they emphasize an underlying reality in the healthcare field: Different populations, cultures, and groups have diverse beliefs and practices that impact their health. APRNs and other healthcare professionals should be aware of this reality and adapt their health assessment techniques and recommendations to accommodate diversity.
As an advanced practice nurse, you must build a patient health history that takes into account all of the factors that make a patient unique and tailor your communication techniques accordingly. Doing so will not only help you establish rapport with each patient, but it will also enable you to more effectively gather the information needed to assess a patient’s health risks.
For this first Assignment, you will take on the role of an APRN who is building a health history for a particular patient assigned by your Instructor. You will consider how social determinants of health and specific cultural considerations will influence your interview and communication techniques as you work in partnership with the patient to gather data for an accurate health history.
Note: You are expected to draw on the resources for both Week 1 and Week 2 when completing your Assignment.
Reflect on your experience as an advanced practice nurse and on the information provided in the Week 1 Learning Resources on building a health history and the Week 2 Learning Resources on diversity issues in health assessments.
By Day 1 of this week, your Instructor will assign a case study for this Assignment. Note: Please see the Course Announcements section of the classroom for your Case Study Assignment.
Reflect on the specific socioeconomic, spiritual, lifestyle, and other cultural factors related to the health of your assigned patient.
Consider how you would build a health history for the patient. What questions would you ask? How might you target your questions based on the patient’s social determinants of health? How would you frame the questions to be sensitive to the patient’s background, lifestyle, and culture?
Identify any potential health-related risks, based on the patient’s age, gender, ethnicity, or environmental setting, which should be taken into consideration.
What risk assessment instruments would be appropriate to use with this patient?
What questions would you ask to assess the patient’s health risks?
Select one (1) risk assessment instrument discussed in the Learning Resources, or another tool with which you are familiar, related to your selected patient.
Develop five (5) targeted questions you would ask the patient to build their health history and to assess their health risks.
Think about the challenges associated with communicating with patients from a variety of specific populations. What communication techniques would be most appropriate to use with this patient? What strategies can you as an APRN employ to be sensitive to different cultural factors while gathering the pertinent information?
Assignment: Building a Health History With Cultural and Diversity Awareness
Include the following:
Explain the specific socioeconomic, spiritual, lifestyle, and other cultural factors associated with the patient you were assigned. Be specific.
Explain the issues that you would need to be sensitive to when interacting with the patient, and why.
Describe the communication techniques you would use with this patient. Include strategies to demonstrate sensitivity with this patient. Be specific and explain why you would use these techniques.
Summarize the health history interview you would conduct with this patient. Provide at least five (5) targeted questions you would ask the patient to build their health history and to assess their health risks. Explain your reasoning for each question and how you frame each for this specific patient.
Identify the risk assessment instrument you selected, and then justify why it would be applicable to your assigned patient. Be specific.
Include a reference list with a minimum of 3 scholarly articles.
By day 7 of Week 2
Submit your Assignment.
submission information
Before submitting your final assignment, you can check your draft for authenticity. To check your draft, access the Turnitin Drafts from the Start Here area.
To submit your completed assignment, save your Assignment as WK2Assgn1_LastName_FirstInitial
Then, click on Start Assignment near the top of the page.
Next, click on Upload File and select Submit Assignment for review.
Rubric
NURS_6512_Week 2_Assignment 1_Rubric
NURS_6512_Week 2_Assignment 1_Rubric
CriteriaRatingsPts
This criterion is linked to a Learning OutcomeExplain the specific socioeconomic, spiritual, lifestyle, and other cultural factors associated with the patient you were assigned. Be specific.
15 to >12.0 ptsExcellentThe response clearly, accurately, and in detail explains the specific socioeconomic, spiritual, lifestyle, and other cultural factors associated with the assigned patient.
12 to >9.0 ptsGoodThe response accurately explains the specific socioeconomic, spiritual, lifestyle, and other cultural factors associated with the assigned patient.
9 to >6.0 ptsFairThe response vaguely and with some inaccuracy explains the socioeconomic, spiritual, lifestyle, and other cultural factors associated with the assigned patient.
6 to >0 ptsPoorThe response is inaccurate and/or missing explanations of the socioeconomic, spiritual, lifestyle, and other cultural factors associated with the assigned patient.
15 pts
This criterion is linked to a Learning OutcomeExplain the issues that you would need to be sensitive to when interacting with the patient, and why.
15 to >12.0 ptsExcellentThe response clearly, accurately, and in detail explains the issues to be sensitive to when interacting with the patient; explanations why are clear, accurate, and detailed.
12 to >9.0 ptsGoodThe response accurately explains the issues to be sensitive to when interacting with the patient; explanations why are accurate.
9 to >6.0 ptsFairThe response vaguely and with some inaccuracy explains the issues to be sensitive to when interacting with the patient; explanations why are vague and/or inaccurate.
6 to >0 ptsPoorThe response is inaccurate and/or missing explanations of the issues to be sensitive to when interacting with the patient; explanations why are inaccurate or missing.
15 pts
This criterion is linked to a Learning OutcomeDescribe the communication techniques you would use with this patient. Include strategies to demonstrate sensitivity with this patient. Be specific and explain why you would use these techniques.
15 to >12.0 ptsExcellentThe response clearly and accurately identifies and describes in detail communication techniques to use with the patient, including specific strategies to demonstrate sensitivity with this patient, and a detailed explanation of why to use these techniques.
12 to >9.0 ptsGoodThe response accurately identifies and describes communication techniques to use with the patient, including specific strategies to demonstrate sensitivity with this patient, and an explanation of why to use these techniques.
9 to >6.0 ptsFairThe response vaguely and with some inaccuracy identifies and describes communication techniques to use with the patient, including strategies to demonstrate sensitivity with this patient, and a vague explanation of why to use these techniques.
6 to >0 ptsPoorThe response identifies inaccurately and/or is missing descriptions of communication techniques to use with the patient, including inaccurate or missing strategies to demonstrate sensitivity with this patient, and an inadequate or missing explanation of why to use these techniques.
15 pts
This criterion is linked to a Learning OutcomeSummarize the health history interview you would conduct with this patient. Provide at least five (5) targeted questions you would ask the patient to build their health history and to assess their health risks. Explain your reasoning for each question and how you frame each for this specific patient.
25 to >22.0 ptsExcellentThe response clearly, accurately, and in detail summarizes the health history interview to conduct with this patient, including at least five targeted questions to ask to build the health history and assess health risks, with detailed explanations for the wording of each question and why it is asked.
22 to >19.0 ptsGoodThe response accurately summarizes the health history interview to conduct with this patient, including five targeted questions to ask to build the health history and assess health risks, with explanations for the wording of each question and why it is asked.
19 to >16.0 ptsFairThe response vaguely summarizes the health history interview to conduct with this patient, including five questions to ask that are vague or lacking specificity to build the health history and assess health risks, with vague explanations for the wording of each question and why it is asked.
16 to >0 ptsPoorThe response inadequately summarizes the health history interview to conduct with this patient, including fewer than five questions that are inadequate for building the health history and assessing health risks, with inadequate or missing explanations for the wording of each question and why it is asked.
25 pts
This criterion is linked to a Learning OutcomeIdentify the risk assessment instrument you selected, and then justify why it would be applicable to your assigned patient. Be specific.
15 to >12.0 ptsExcellentThe response clearly and accurately identifies the selected risk assessment instrument, and provides detailed and specific justification for why it is applicable to the assigned patient.
12 to >9.0 ptsGoodThe response accurately identifies the selected risk assessment instrument, and provides specific justification for why it is applicable to the assigned patient.
9 to >6.0 ptsFairThe response vaguely identifies the selected risk assessment instrument, and provides vague justification for why it is applicable to the assigned patient.
6 to >0 ptsPoorThe response inadequately identifies the selected risk assessment instrument, and provides inadequate or missing justification for why it is applicable to the assigned patient.
15 pts
This criterion is linked to a Learning OutcomeWritten Expression and Formatting: Paragraph Development and Organization — Paragraphs make clear points that support well-developed ideas, flow logically, and demonstrate continuity of ideas. Sentences are carefully focused and neither long and rambling nor short and lacking substance. A clear and comprehensive purpose statement and introduction are provided that delineate all required criteria.
5 to >4.0 ptsExcellentParagraphs and sentences follow writing standards for flow, continuity, and clarity. A clear and comprehensive purpose statement, introduction, and conclusion are provided that delineate all required criteria.
4 to >3.0 ptsGoodParagraphs and sentences follow writing standards for flow, continuity, and clarity 80% of the time. Purpose, introduction, and conclusion of the assignment are stated, yet are brief and not descriptive.
3 to >2.0 ptsFairParagraphs and sentences follow writing standards for flow, continuity, and clarity 60%–79% of the time. Purpose, introduction, and conclusion of the assignment are vague or off topic.
2 to >0 ptsPoorParagraphs and sentences follow writing standards for flow, continuity, and clarity < 60% of the time. No purpose statement, introduction, or conclusion were provided.
5 pts
This criterion is linked to a Learning OutcomeWritten Expression and Formatting: English Writing Standards — Correct grammar, mechanics, and proper punctuation
5 to >4.0 ptsExcellentUses correct grammar, spelling, and punctuation with no errors.
4 to >3.0 ptsGoodContains a few (1 or 2) grammar, spelling, and punctuation errors.
3 to >2.0 ptsFairContains several (3 or 4) grammar, spelling, and punctuation errors.
2 to >0 ptsPoorContains many (≥ 5) grammar, spelling, and punctuation errors that interfere with understanding.
5 pts
This criterion is linked to a Learning OutcomeWritten Expression and Formatting: APA The paper follows correct APA format for title page, headings, font, spacing, margins, indentations, page numbers, running heads, parenthetical/in-text citations, and reference list with minimum of 3 scholarly articles.
5 to >4.0 ptsExcellentUses correct APA format with no errors. Contains 3 references.
4 to >3.0 ptsGoodContains a few (1 or 2) APA format errors. Contains at least 2 references
3 to >2.0 ptsFairContains several (3 or 4) APA format errors. Contains less than 2 references.
2 to >0 ptsPoorContains many (≥ 5) grammar, spelling, and punctuation errors that interfere with understanding. No references listed.
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https://studenthomeworks.com/wp-content/uploads/2018/04/Asset-3.png00https://studenthomeworks.com/wp-content/uploads/2018/04/Asset-3.png2025-12-03 22:20:582025-12-03 22:20:58Week 2: Assignment 1 – VS
Week 2: Assignment 1 – VS
/in /byBuilding a Health History: Communicating Effectively to Gather Appropriate Health-Related Information
You have been assigned the case of S.D., a 37-year-old healthy Hispanic female seen in the Emergency Department with bruises and an arm laceration after a fall. Her husband is at the bedside. This is her second visit in the past six months for similar care. She is undocumented and awaiting residency approval after marrying her current husband.
As you complete your assignment, reflect on the following:
BUILDING A HEALTH HISTORY: COMMUNICATING EFFECTIVELY TO GATHER APPROPRIATE HEALTH-RELATED INFORMATION
Effective communication is vital to constructing an accurate and detailed patient history. A patient’s health or illness is influenced by many factors, including age, gender, ethnicity, and environmental setting.
There may also be significant cultural factors. In May 2012, Alice Randall wrote an article for The New York Times on the cultural factors that encouraged Black women to maintain a weight above what is considered healthy. Randall explained from her observations and her personal experience, as a Black woman, that many African American communities and cultures consider women who are overweight to be more beautiful and desirable than women at a healthier weight. As she put it, “Many black women are fat because we want to be†(Randall, 2012).
Randall’s statements sparked a great deal of controversy and debate at the time; however, they emphasize an underlying reality in the healthcare field: Different populations, cultures, and groups have diverse beliefs and practices that impact their health. APRNs and other healthcare professionals should be aware of this reality and adapt their health assessment techniques and recommendations to accommodate diversity.
As an advanced practice nurse, you must build a patient health history that takes into account all of the factors that make a patient unique and tailor your communication techniques accordingly. Doing so will not only help you establish rapport with each patient, but it will also enable you to more effectively gather the information needed to assess a patient’s health risks.
For this first Assignment, you will take on the role of an APRN who is building a health history for a particular patient assigned by your Instructor. You will consider how social determinants of health and specific cultural considerations will influence your interview and communication techniques as you work in partnership with the patient to gather data for an accurate health history.
Note: You are expected to draw on the resources for both Week 1 and Week 2 when completing your Assignment.
Table of Contents
Resources
Be sure to review the Learning Resources before completing this activity.Click the weekly resource links to access the resources.
WEEK 1 WEEKLY RESOURCES
WEEK 2 WEEKLY RESOURCES
To prepare:
Assignment: Building a Health History With Cultural and Diversity Awareness
Include the following:
By day 7 of Week 2
Submit your Assignment.
submission information
Before submitting your final assignment, you can check your draft for authenticity. To check your draft, access the Turnitin Drafts from the Start Here area.
Rubric
NURS_6512_Week 2_Assignment 1_Rubric
NURS_6512_Week 2_Assignment 1_Rubric
CriteriaRatingsPts
This criterion is linked to a Learning OutcomeExplain the specific socioeconomic, spiritual, lifestyle, and other cultural factors associated with the patient you were assigned. Be specific.
15 to >12.0 ptsExcellentThe response clearly, accurately, and in detail explains the specific socioeconomic, spiritual, lifestyle, and other cultural factors associated with the assigned patient.
12 to >9.0 ptsGoodThe response accurately explains the specific socioeconomic, spiritual, lifestyle, and other cultural factors associated with the assigned patient.
9 to >6.0 ptsFairThe response vaguely and with some inaccuracy explains the socioeconomic, spiritual, lifestyle, and other cultural factors associated with the assigned patient.
6 to >0 ptsPoorThe response is inaccurate and/or missing explanations of the socioeconomic, spiritual, lifestyle, and other cultural factors associated with the assigned patient.
15 pts
This criterion is linked to a Learning OutcomeExplain the issues that you would need to be sensitive to when interacting with the patient, and why.
15 to >12.0 ptsExcellentThe response clearly, accurately, and in detail explains the issues to be sensitive to when interacting with the patient; explanations why are clear, accurate, and detailed.
12 to >9.0 ptsGoodThe response accurately explains the issues to be sensitive to when interacting with the patient; explanations why are accurate.
9 to >6.0 ptsFairThe response vaguely and with some inaccuracy explains the issues to be sensitive to when interacting with the patient; explanations why are vague and/or inaccurate.
6 to >0 ptsPoorThe response is inaccurate and/or missing explanations of the issues to be sensitive to when interacting with the patient; explanations why are inaccurate or missing.
15 pts
This criterion is linked to a Learning OutcomeDescribe the communication techniques you would use with this patient. Include strategies to demonstrate sensitivity with this patient. Be specific and explain why you would use these techniques.
15 to >12.0 ptsExcellentThe response clearly and accurately identifies and describes in detail communication techniques to use with the patient, including specific strategies to demonstrate sensitivity with this patient, and a detailed explanation of why to use these techniques.
12 to >9.0 ptsGoodThe response accurately identifies and describes communication techniques to use with the patient, including specific strategies to demonstrate sensitivity with this patient, and an explanation of why to use these techniques.
9 to >6.0 ptsFairThe response vaguely and with some inaccuracy identifies and describes communication techniques to use with the patient, including strategies to demonstrate sensitivity with this patient, and a vague explanation of why to use these techniques.
6 to >0 ptsPoorThe response identifies inaccurately and/or is missing descriptions of communication techniques to use with the patient, including inaccurate or missing strategies to demonstrate sensitivity with this patient, and an inadequate or missing explanation of why to use these techniques.
15 pts
This criterion is linked to a Learning OutcomeSummarize the health history interview you would conduct with this patient. Provide at least five (5) targeted questions you would ask the patient to build their health history and to assess their health risks. Explain your reasoning for each question and how you frame each for this specific patient.
25 to >22.0 ptsExcellentThe response clearly, accurately, and in detail summarizes the health history interview to conduct with this patient, including at least five targeted questions to ask to build the health history and assess health risks, with detailed explanations for the wording of each question and why it is asked.
22 to >19.0 ptsGoodThe response accurately summarizes the health history interview to conduct with this patient, including five targeted questions to ask to build the health history and assess health risks, with explanations for the wording of each question and why it is asked.
19 to >16.0 ptsFairThe response vaguely summarizes the health history interview to conduct with this patient, including five questions to ask that are vague or lacking specificity to build the health history and assess health risks, with vague explanations for the wording of each question and why it is asked.
16 to >0 ptsPoorThe response inadequately summarizes the health history interview to conduct with this patient, including fewer than five questions that are inadequate for building the health history and assessing health risks, with inadequate or missing explanations for the wording of each question and why it is asked.
25 pts
This criterion is linked to a Learning OutcomeIdentify the risk assessment instrument you selected, and then justify why it would be applicable to your assigned patient. Be specific.
15 to >12.0 ptsExcellentThe response clearly and accurately identifies the selected risk assessment instrument, and provides detailed and specific justification for why it is applicable to the assigned patient.
12 to >9.0 ptsGoodThe response accurately identifies the selected risk assessment instrument, and provides specific justification for why it is applicable to the assigned patient.
9 to >6.0 ptsFairThe response vaguely identifies the selected risk assessment instrument, and provides vague justification for why it is applicable to the assigned patient.
6 to >0 ptsPoorThe response inadequately identifies the selected risk assessment instrument, and provides inadequate or missing justification for why it is applicable to the assigned patient.
15 pts
This criterion is linked to a Learning OutcomeWritten Expression and Formatting: Paragraph Development and Organization — Paragraphs make clear points that support well-developed ideas, flow logically, and demonstrate continuity of ideas. Sentences are carefully focused and neither long and rambling nor short and lacking substance. A clear and comprehensive purpose statement and introduction are provided that delineate all required criteria.
5 to >4.0 ptsExcellentParagraphs and sentences follow writing standards for flow, continuity, and clarity. A clear and comprehensive purpose statement, introduction, and conclusion are provided that delineate all required criteria.
4 to >3.0 ptsGoodParagraphs and sentences follow writing standards for flow, continuity, and clarity 80% of the time. Purpose, introduction, and conclusion of the assignment are stated, yet are brief and not descriptive.
3 to >2.0 ptsFairParagraphs and sentences follow writing standards for flow, continuity, and clarity 60%–79% of the time. Purpose, introduction, and conclusion of the assignment are vague or off topic.
2 to >0 ptsPoorParagraphs and sentences follow writing standards for flow, continuity, and clarity < 60% of the time. No purpose statement, introduction, or conclusion were provided.
5 pts
This criterion is linked to a Learning OutcomeWritten Expression and Formatting: English Writing Standards — Correct grammar, mechanics, and proper punctuation
5 to >4.0 ptsExcellentUses correct grammar, spelling, and punctuation with no errors.
4 to >3.0 ptsGoodContains a few (1 or 2) grammar, spelling, and punctuation errors.
3 to >2.0 ptsFairContains several (3 or 4) grammar, spelling, and punctuation errors.
2 to >0 ptsPoorContains many (≥ 5) grammar, spelling, and punctuation errors that interfere with understanding.
5 pts
This criterion is linked to a Learning OutcomeWritten Expression and Formatting: APA The paper follows correct APA format for title page, headings, font, spacing, margins, indentations, page numbers, running heads, parenthetical/in-text citations, and reference list with minimum of 3 scholarly articles.
5 to >4.0 ptsExcellentUses correct APA format with no errors. Contains 3 references.
4 to >3.0 ptsGoodContains a few (1 or 2) APA format errors. Contains at least 2 references
3 to >2.0 ptsFairContains several (3 or 4) APA format errors. Contains less than 2 references.
2 to >0 ptsPoorContains many (≥ 5) grammar, spelling, and punctuation errors that interfere with understanding. No references listed.
5 pts
Total Points: 100
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